Ðe ʋumenugbagbevi dzĩwo mesɔ gbɔ ɖe wò ʋu me oa? Mina míaƒo nu tso esia (Thrombocytopenia) ŋu!

Efɔ̃a? Egbea míele nu ƒom tso dɔléle aɖe si ate ŋu aɖi nu sesẽ vie ŋu, gake ne wose egɔme nyuie la, woate ŋu aɖu edzi vaseɖe afi aɖe. Emae nye ʋumenugbagbevi dzĩwo dzi ɖeɖe kpɔtɔ le ʋua me, si nye dɔléle si woyɔna be (Thrombocytopenia) le atikewɔwɔ me. Ðewohĩ èse nya sia tso ɖɔkta aɖe gbɔ kpɔ, alo ɖewohĩ èkpɔe le ʋu ŋuti nyatakaka aɖe me. Mègatsi dzi o, míaƒo nu tso esia ŋu bɔbɔe, le mɔ si gɔme nàte ŋu ase nu.

Gbã la, na míakpɔ nusi ʋumenugbagbevi dzĩ siawo nye kple nukatae wole vevie na mí alea gbegbe?

Bu eŋu ale: ʋumenugbagbevi dzĩwoe nye nu suesuesue siwo le abe asrafo ene siwo toa míaƒe ʋukawo me. Ne míagblɔe tututu la, wonye lãmenugbagbevi sue ŋutɔ ƒomevi aɖe si me amadede mele o. Abe lãmenugbagbevi bubu siwo le míaƒe ʋu me ene la, ʋumenugbagbevi dzĩwo dzɔna le lãmeka falɛfalɛ si le míaƒe ƒuwo me si woyɔna be ƒumeŋuɖui me.

Fifia èbia be, ekema nukatae míehiã asrafo sue siawo? Nu vevitɔe nye esi: Ne míexɔ abi le afi aɖe eye míedze ʋudodo gɔme, abe ne míele aʋa wɔ ge ene la, ʋumenugbagbevi dzĩ siawoe ƒua du yia afima gbã eye wowɔa ɖeka wɔa ʋu ƒe sisi (`(clot)`) be woatɔ te ʋua. Ðeko wòle abe ne ètsɔ siminti aɖe de do aɖe me le gli ŋu ene. Eyata ʋumenugbagbevi dzĩwo manɔmee la, ɖewohĩ abi sue aɖe gɔ̃ hã mate ŋu atɔ te ʋua o. Èse alesi gbegbe ema le veviea?

Eyata nukae nye ʋumenugbagbeviɣidɔ sia si bɔbɔ, alo ʋumenugbagbeviɣidɔ?

Kpuie ko la, ʋumenugbagbeviɣidɔ nye ne ʋumenugbagbevi dzĩwo mesɔ gbɔ ɖe wò ʋu me wu alesi wòle be wòanɔ o. Zi geɖe la, ʋumenugbagbevi dzĩ siwo ade miliɔn 1.5 va ɖo 4.5 ye nɔa ame si le lãmesẽ me ŋu le ʋu microlita ɖeka me. Ne xexlẽme sia ɖiɖi ɖe anyi wu esia la, míeyɔnae be ʋumenugbagbeviɣidɔ.

Gake nya lae nye esi: ʋumenugbagbevi dzĩwo ƒe ɖiɖi vie menyea nya gã aɖeke ɣesiaɣi o. Enɔ te ɖe alesi wòbɔbɔe, nusita wòɖiɖi, kple alesi wòɖiɖi kabakabae dzi. Esia tae wòle vevie be nàdi ɖɔkta ƒe aɖaŋuɖoɖo ɖo.

Nukatae ʋumenugbagbevi dzĩwo ƒe xexlẽme dzi ɖe kpɔtɔ le mía si? Nukawoe gbɔ wòtsona?

Susu vovovowo ate ŋu anɔ anyi siwo tae ʋumenugbagbevi dzĩwo mesɔ gbɔ ɖo o. Mina míama wo ɖe hatsotso vevi etɔ̃ me.

1. Ne ʋumenugbagbevi dzĩwo wɔwɔ to ƒumeŋuɖui dzi dzi ɖe kpɔtɔ la:

Míeƒo nu tso alesi wowɔa ʋumenugbagbevi dzĩwo le ƒumeŋuɖui me ŋu do ŋgɔ. Eyata ne kuxi aɖe le ƒumeŋuɖui sia ŋu eye ʋumenugbagbevi dzĩwo wɔwɔ dzi ɖe kpɔtɔ la, ʋumenugbagbevi dzĩwo ƒe xexlẽme dzi ɖena kpɔtɔna le ʋua me. Susu geɖewo li siwo tae wòle alea ɖo:

• Dɔlékui aɖewo: Le kpɔɖeŋu me, dɔlékuiwo abe dengue fever, hepatitis C, kple HIV ate ŋu ana ƒumeŋuɖui nawɔ dɔ nyuie o.
• Atike aɖewo: Atike siwo wozãna tsɔ daa kansa (Chemotherapy), dɔlékuiwutike aɖewo, kple aɖuɖɔtoemetikewo hã ate ŋu agblẽ nu le ƒumeŋuɖui ŋu.
• Ahanono fũu akpa: Esia ate ŋu agblẽ nu le ƒumeŋuɖui hã ŋu.
• Vitamin ƒe anyimanɔmanɔ: Ne vitamin B12 (`(Vitamin B12)`) alo folate (`(Folate)`) mele ŋutilãa me o la, ʋumenugbagbevi dzĩwo ƒe wɔwɔ ate ŋu aɖe akpɔtɔ.
• Ʋumekansa: Ʋumekansa abe ʋumenugbagbeviɣidɔ ene ate ŋu ana ƒumeŋuɖui nadzudzɔ lãmenugbagbevi siwo sɔ wɔwɔ.
• Aplastic Anemia: Esia nye ne ƒumeŋuɖui mewɔa ʋumenugbagbevi aɖeke nyuie o.
• Myelodysplastic Syndromes: Esia hã nye nɔnɔme si me ƒumeŋuɖui mewɔa dɔ nyuie o.
• Domenyiŋusẽfianu ƒe nɔnɔme siwo mebɔ o: Ɣeaɖewoɣi la, ʋumenugbagbeviɣidɔ si mebɔ o ate ŋu atso domenyiŋusẽfianu siwo nɔa anyi le vidzidzi me gbɔ.

2. Ne ʋumenugbagbevi dzĩ siwo dona la tsrɔ̃na kabakaba alo ne wozãe wògbɔ eme le ŋutilã me:

Ɣeaɖewoɣi la, ne ƒumeŋuɖui la na ʋumenugbagbevi dzĩwo sɔ gbɔ hã, ne wogblẽ kabakaba le ŋutilãa me, alo ne wozã wo fũ akpa le ʋu gã aɖe si dona le ame ŋu ta hã la, ʋumenugbagbevi dzĩwo ƒe xexlẽme ate ŋu aɖe akpɔtɔ.

• ITP (Immune Thrombocytopenic Purpura): Esiae nye esime míaƒe dɔlélenutsiŋutete dzea mía ŋutɔwo míaƒe ʋumenugbagbevi dzĩwo dzi vodadatɔe hegblẽa wo. Esia ate ŋu adzɔ le ɖevi suewo me le dɔlékui ƒe dzoxɔxɔ megbe, gake ate ŋu adzɔ le ame tsitsiwo hã gome.
• Esia ate ŋu adzɔ le dɔléle bubu siwo dɔlélenutsiŋutete hena vɛ, abe lupus kple ƒunukpeƒetetedɔ ene hã me.
• Atike aɖewo: Atike aɖewo ate ŋu ana dɔlélenutsiŋutete nagblẽ ʋumenugbagbevi dzĩwo dome, ne enye nulɔdɔ gɔ̃ hã.
• Dɔlékui sesẽwo (sepsis): Le dɔlékui sesẽwo me la, nɔnɔmewo abe DIC (Disseminated Intravascular Coagulation) ene ate ŋu adzɔ, si ana ʋumenugbagbevi dzĩwo naɖiɖi kabakaba.
• TTP (Thrombotic Thrombocytopenic Purpura) (`(Thrombotic Thrombocytopenic Purpura)`) kple HUS (Ʋu me ʋu ƒe sisi ƒe dɔléle) (`(Ʋu me ʋu ƒe sisi ƒe dɔléle)`): Nɔnɔme siawo mebɔ o gake afɔku le wo me. Le nɔnɔme sia me la, ʋuka suesuesuewo dzɔna le ʋukawo me eye ʋumenugbagbevi dzĩawo zãna vɔ.

3. Ne dɔgboa lolo eye ʋumenugbagbevi dzĩwo ƒo ƒu ɖe afima:

Aɖuɖɔtoe nye ŋutinu aɖe si le míaƒe ƒodo ƒe miame ƒe akpa si le etame. Eɖea ʋu eye wòɖea ʋumenugbagbevi xoxowo ɖa. Ne dɔgboa lolo le dɔléle aɖewo ta (e.g., aklãdɔ - ʋumenugbagbeviɣidɔ, dɔlékui aɖewo, ʋumenugbagbeviɣidɔ), ate ŋu aƒo ʋumenugbagbevi dzĩwo nu ƒu wu alesi wòle dzɔdzɔmee, si ana ʋumenugbagbevi dzĩwo ƒe xexlẽme dzi naɖe akpɔtɔ le ʋua me.

Dzesi kawoe ate ŋu ado mo ɖa ne ʋumenugbagbevi dzĩwo mesɔ gbɔ o?

Ʋumenugbagbeviɣidɔ ƒe dzesiwo ate ŋu ato vovo tso ame ɖeka gbɔ yi bubu gbɔ. Enɔ te ɖe alesi wò ʋumenugbagbevi dzĩwo le sue kple alesi wòɖiɖi kabakabae hã dzi. Ɣeaɖewoɣi la, ɖewohĩ dzesi aɖeke manɔ amesiwo ƒe ʋumenugbagbevi dzĩwo mesɔ gbɔ o ŋu kura o. Gake dzesi siwo bɔ wu dometɔ aɖewoe nye esi:

• Abi: Abi nye teƒe gã siwo le blɔ alo aŋutiɖiɖi le ŋutigbalẽa ŋu. Ne kpo sue aɖe le afi sia afi gɔ̃ hã ate ŋu ana wòaxɔ abi gã aɖe.
• Teƒe dzĩ suesuesue siwo le ŋutigbalẽa ŋu:Ɣeaɖewoɣi la, teƒe sue dzĩ alo aŋutiɖiɖi (`(petechiae)`) dzena le ŋutilã bliboa me, abe anyidi suewo ene, le afɔwo kple abɔwo dzi. Esiawo mebuna ne èlé ŋku ɖe wo ŋu o.
• Exɔa ɣeyiɣi didi hafi ʋua nu tsona le abixɔxɔ vɔ megbe.
• Ʋu si le dodom le aɖuwo me, ʋu si dona le ŋɔti me enuenu.
• Ʋu si le dodom le aɖuɖɔ alo aɖuɖɔ me (aɖuɖɔ ate ŋu abiã, aɖuɖɔ ate ŋu anye yibɔ alo ʋu).
• Le nyɔnuwo gome la, dzinukpɔkpɔa nu sẽna eye wòxɔa ŋkeke geɖe wu alesi wònɔna ɖaa.
• Ðeɖiteameŋu ƒe seselelãme, ɖeɖiteameŋu.
• Ɣeaɖewoɣi la, ne edo ƒome kple aklã ƒe kuxi aɖe la, ŋkuawo ate ŋu azu ɣie (jaundice).

Vevietɔ: Ne èkpɔ dzesiwo abe taɖuame, taɖuame, alo nuƒoƒo sesẽ ene la, ele be nàyi kɔdzi enumake, elabena esia ate ŋu anye ʋu si le dodom le ahɔhɔ̃a me ƒe dzesi!

Ne dzesi siawo tɔgbe le mía ŋu la, nukae wòle be míawɔ? Ðe wòle be míayi ɖɔkta gbɔa?

Ẽ, keŋkeŋ! Ne ʋu aɖe le dodom le ŋuwò si mebɔ o, ʋu le dodom le wò ŋutigbalẽ ŋu, alo ɖeɖi te ŋuwò vevie la, mègaŋe aɖaba ƒu edzi nàyi ɖɔkta gbɔ o. Mègatsi dzodzodzoe o, gake mègahe ɖe megbe hã o. Ðɔktaa abia nyawo wò, ado wò kpɔ, eye wòaɖo wò be woado wò kpɔ ne ehiã.

Aleke ɖɔktaa wɔa anya esia? Dodokpɔ ka ƒomevie wowɔna?

Ne èyi ɖɔkta gbɔ la, woabia wò dɔlélea ƒe dzesiwo, atike siwo zãm nèle, kple nenye be wò ƒomea me tɔ aɖe to kuxi mawo tɔgbe me kpɔ. Emegbe woalé ŋku ɖe ŋuwò akpɔe ɖa be ʋu le dodom le ŋuwò, ŋutigbalẽ ƒe amadede trɔ, kple dɔgbo si lolo hã.

Tsɔ kpe ɖe eŋu la, woate ŋu awɔ dodokpɔwo abe:

• Ʋu Xexlẽme Blibo (FBC) : Esiae nye dodokpɔ vevitɔ si dea dzesi ʋumenugbagbevi dzĩwo ƒe xexlẽme tututu le ʋua me. Enaa nyatakaka siwo ku ɖe ʋumenugbagbevi dzĩwo kple ʋumenugbagbevi ɣiwo hã ŋu.
• Ʋu ƒe Ʋuʋu le Gome : Esia bia be woaɖe ʋu aɖe ahalé ŋku ɖe ʋumenugbagbevi dzĩwo ƒe nɔnɔme kple lolome ŋu le nusuekpɔmɔ̃ me. Ɣeaɖewoɣi la, woléa ŋku ɖe eŋu hã be ʋumenugbagbevi dzĩawo lé ɖe wo nɔewo ŋu alo lãmenugbagbevi aɖewo siwo mesɔ o hã.
• Ʋudodokpɔ bubuwo: Dodokpɔ bubuwo li siwo ate ŋu akpe ɖe ame ŋu woake ɖe nusi gbɔ wòtso ŋu. Le kpɔɖeŋu me, dodokpɔ siwo wowɔna tsɔ léa ŋku ɖe aklã ƒe dɔwɔwɔ ŋu (aklã ƒe dɔwɔwɔ dodokpɔ), ayiku ƒe dɔwɔwɔ dodokpɔ, dodokpɔ siwo wowɔna tsɔ léa ŋku ɖe dɔlékuiwo ƒe dɔlékuiwo ŋu, kple dodokpɔ siwo wowɔna tsɔ léa ŋku ɖe dɔlélenutsiŋutete ƒe dzesiwo ŋu.
• Bone Marrow Aspiration and Biopsy : Ɣeaɖewoɣi la, ne ʋudodokpɔ ɖeɖe dzaa mekpɔ nusi gbɔ wòtso o la, wowɔa dodokpɔ sia be woakpɔe ɖa be ƒumeŋuɖui le ʋumenugbagbevi dzĩwo wɔm nyuie hã. Esia bia be woaɖe ƒumeŋuɖui sue aɖe tso teƒe sue aɖe, abe akɔta ene, le atike si naa alɔ̃dɔdɔ ame me.

Nukawoe nye atike siwo wozãna na ʋumenugbagbevi dzĩ siwo mebɔ o?

Esia nye kuxi si le ame geɖe ŋu. Atikewɔwɔ na ʋumenugbagbevi dzĩ siwo mebɔ o nɔ te ɖe nusi gbɔ wòtso kple alesi dɔlélea nu sẽe dzi bliboe. Egbɔkpɔnu ɖeka aɖeke meli si sɔ na amesiame o.

• Le amesiwo ƒe ʋumenugbagbevi dzĩwo ƒe xexlẽme le sue vie gome: Ne ʋumenugbagbevi dzĩwo ƒe xexlẽme mede tututu o eye ʋu ƒe dodo ƒe dzesi aɖeke mele wo ŋu o la, ɣeaɖewoɣi la, mehiã be woawɔ atike na wo o, ɖeko woalé ŋku ɖe wo ŋu to ʋudodokpɔ edziedzi me.
• Nusi gbɔ wòtsona la dada:
• Ne atike aɖe na wò ʋumenugbagbevi dzĩwo ƒe xexlẽme dzi ɖe kpɔtɔ la, wò ɖɔkta agblɔ na wò be nàdzudzɔ atikeawo nono alo atrɔ wò ɖe atike bubu ŋu. Èsusu be anyo wu be màdzudzɔ atikeawo nono oa?
• Ne dɔlékui aɖe gbɔe wòtso la, wodaa dɔlékui ma.
• Ne dɔléle si tso dɔlélenutsiŋutete gbɔe la, ke wodaae.
• Dɔdamɔnu siwo wozãna koŋ na ʋumenugbagbevi dzĩ siwo mebɔ o:
• Corticosteroids : Le kpɔɖeŋu me, atikewo abe prednisolone ene. Wona esiawo be woatsɔ axe mɔ na dɔlélenutsiŋutete be wòagagblẽ ʋumenugbagbevi dzĩwo o (le nɔnɔmewo abe ITP ene me).
• Intravenous Immunoglobulin (IVIG): Esia nye atike si le abe dze ene si wotsɔ dea ʋuka me. Wozãnɛ tsɔ dzia ʋumenugbagbevi dzĩwo ƒe xexlẽme ɖe edzi kabakaba le nɔnɔme sesẽ siwo me dɔlélenutsiŋutete le ʋumenugbagbevi dzĩwo gblẽm le me.
• Atike bubu siwo kpɔa dɔlélenutsiŋutete dzi (immunosuppressants): Wonaa esiawo ne steroids mewɔa dɔ o alo ne eƒe nugbegblẽ le ame ŋu nu sẽ akpa.
• Thrombopoietin receptor agonists (TPO-RAs): Atike siawo ʋãa ƒumeŋuɖui be wòawɔ ʋumenugbagbevi dzĩ geɖe.
• Ʋumenugbagbeviɣidɔ: Ne ʋu le dodom le ŋuwò vevie alo ne wò ʋumenugbagbevi dzĩwo ƒe xexlẽme le ʋɛ ŋutɔ eye afɔku le eme (e.g. hafi woawɔ dɔ na wò) la, woate ŋu ana ʋumenugbagbevi dzĩwo wò le gota. Gake ɣeyiɣi kpui aɖe ƒe egbɔkpɔnu koe esia nye.
• Aɖuɖɔtoe ɖeɖeɖa: Ne wokpɔe be dɔgboae nana ʋumenugbagbevi dzĩwo gblẽna, eye atikewɔwɔ bubuwo mewɔa dɔ o (vevietɔ le ITP si nɔa anyi didi me) la, woate ŋu awɔ dɔ na ame aɖe atsɔ aɖe ʋumenugbagbeviɣidɔa ɖa. Gake ne woɖe aɖuɖɔtoea ɖa la, edzia dɔlékuiwo xɔxɔ ƒe afɔkua ɖe edzi.
• Plasma exchange (alo Plasmapheresis): Wozãa atikewɔwɔ sia le nɔnɔme tɔxɛwo abe TTP ene me.

Nuka ŋue wòle be míatsi dzi ɖo ne míele agbe kple nɔnɔme sia?

Ele be amesiwo ƒe ʋumenugbagbevi dzĩwo mesɔ gbɔ o naɖɔ ŋu ɖo vie le woƒe gbesiagbegbenɔnɔ me.

• Ƒo asa na dɔwɔna siwo ate ŋu ana ame nadze anyi ahaxɔ abi. Le kpɔɖeŋu me, kadodo kple amewo ƒe kamedefefewo mesɔ o.
• Kpɔ nyuie ŋutɔ ne èle dɔwɔnu ɖaɖɛwo zãm alo nèle amagbewo lãm.
• Zã aɖututu falɛfalɛ ne èle wò aɖuwo klɔm. Kpɔ nyuie be màgade abi wò aɖuwo ŋu o.
• Ʋumenugbagbeviɣitikewo abe aspirin, NSAID (abe ibuprofen ene) nono ɖɔkta ƒe aɖaŋuɖoɖo manɔmeeMègazã esiawo o. Esiawo ate ŋu ana ʋu nadzi ɖe edzi. Gblɔ na ɖɔkta kple aɖudɔdala ɖesiaɖe si nàkpɔ be ʋumenugbagbevi dzĩwo mesɔ gbɔ o.
• Kpɔ nyuie le ʋu ƒe dodo ƒe dzesi ɖesiaɖe ŋu (ŋutilã ƒe teƒeteƒewo, ŋɔti me ʋu, aɖu siwo me ʋu le dodom le). Gblɔe na wò ɖɔkta ne ède dzesi dzesi yeye aɖewo.
• Ƒo nuɖuɖu si da sɔ. Negbe ɖe wò ʋumenugbagbevi dzĩwo ƒe xexlẽme le ʋɛ le vitamin ƒe agbɔsɔsɔ si mede ame dzi o ta ko hafi nuɖuɖu ɖeɖe dzaa madae o. Gake ele vevie be nunyiame si wò ŋutilã hiã la nasu asiwò.
• Seɖoƒe li na ahanono alo dzudzɔ enono keŋkeŋ .

Ðe esia ate ŋu anye nu vevi aɖea? Nukawoe nye kuxi siwo dona tso eme?

Ẽ, esia ate ŋu anye nɔnɔme sesẽ aɖe ne ʋumenugbagbevi dzĩwo ƒe xexlẽme dzi ɖe kpɔtɔ ŋutɔ alo zi ɖeka.

Afɔku vevitɔe nye ʋu si dona le ame ŋu vevie. Esia ateŋu adze (tso abi, ŋɔti me) alo ememe (e.g., le ahɔhɔ̃, dɔgbo, dɔgbowo me). Ʋu si dona le ememe ate ŋu ade ame ƒe agbe afɔku me.

Esia tae wòle vevie ŋutɔ be woano atike la abe alesi tututu ɖɔkta la gblɔe ene eye nàɖɔ ŋu ɖo.

Kpuie kple nya mamlɛawo

Enyo, eyata mele mɔ kpɔm be fifia èse nusi ŋu míeƒo nu tsoe egbea (Thrombocytopenia) alo ʋumenugbagbeviɣidɔ si bɔbɔ la gɔme nyuie wu. Ðo ŋku edzi be esia fia be ʋumenugbagbevi dzĩ siwo le ʋua me la ɖiɖi wu alesi wòle. Nu geɖewo ate ŋu ahe esia vɛ, eye dzesiawo to vovo na ame ɖesiaɖe.

Nu vevitɔe nye be, ne dzesi siawo le ŋuwò la, le esi teƒe be nàtso nya me le ɖokuiwò si, alo adi atikewo le Internet dzi la, di ɖɔkta nyui aɖe, di nusi tututu gbɔ wòtso, eye nàxɔ atike nyuitɔ.

Mègatsi dzi o, zi geɖe la, ne èda dɔ nyuie eye nèkpɔ egbɔ nyuie la, àte ŋu aɖu nɔnɔme sia dzi eye nànɔ agbe nyui. Gblɔ nusianu faa na wò ɖɔkta eye nàɖi anukware, eye nàbia nya ɖesiaɖe si anɔ asiwò. Esia akpe ɖe ŋuwò nàse esia gɔme nyuie wu eye wòakpe ɖe ŋuwò nànɔ te ɖe enu nyuie wu.

` ʋumenugbagbeviɣidɔ, ʋumenugbagbevi dzĩwo ƒe xexlẽme, ʋumenugbagbevi dzĩwo, ƒumeŋuɖui, ʋudodo, abi, ITP, ʋumenugbagbeviɣiwo, Sinhalagbe me atikewɔwɔ ŋuti nyati, petechiae